"President's Plan To Assist The Uninsured"
Prepared Remarks of Tommy G. Thompson
Secretary of Health and Human Services
Unity Cardozo Health Center
Washington, D.C.
January 30, 2002
Thank you, Vincent and Jim, for the introduction and for your
great work. Unity Health Care is a sterling example of how communities
and government can work together to improve the lives of American
families.
Unity has provided 17 years of service to this community, and
it has served those families who are most in need. More than
three-quarters of unity's patients live below the federal poverty
line, and many are homeless. It's a record of service to be
proud of, and I am honored to be here with you.
My good friends Betty Duke and Bobby Jindal also are here.
Betty is the Acting Administrator of the Health Resources and
Services Administration, and Bobby is the HHS Assistant Secretary
for Planning and Evaluation. They are both doing a wonderful
job at the Department of Health and Human Services.
We are here today to because there are roughly 39 million Americans
who don't have health insurance. That's simply too many in a
nation as compassionate and caring as ours, and it's something
that President Bush and we at HHS are determined to fix.
We made great strides in extending access to health care to
Americans during the first year of the Bush administration.
We increased funding for community health centers by $165 million,
in order to build on the expertise and compassion that provide
care to so many Americans nationwide.
We also have intensified our partnership with the states by
working with governors to give them the flexibility they need
to best provide health care under the Medicaid and SCHIP programs.
In the last year, we at the Department of Health and Human
Services have approved more than 1,400 state plan amendments
and Medicaid and SCHIP Waivers - some that had been languishing
before the federal government for more than a decade.
As a result, those waivers have expanded the opportunity for
health coverage to 1.8 million Americans and expanded existing
benefits to 4.5 million more. We signed the latest last week
in California, providing care to an additional 300,000 in that
state alone.
That's a record that I'm very proud of, but I recognize that
we need to do more. We must do more. In solving the problem
of the uninsured, we must not be bound by the old ideological
battles of the left and the right, of private sector versus
public sector solutions. We must take the best of both worlds
and, in the end, the reward goes to those who need it most -
American families who lack access to quality health care.
That's why - in the fiscal year 2003 budget - President Bush
and we at the Department of Health and Human Services have dedicated
ourselves to taking a dedicated approach to increasing access
to quality health care for all Americans.
We are proposing a comprehensive approach to improving access
to health care. This package provides care to those who cannot
afford it and gives state government the power to make a difference.
President Bush will propose a series of health credits that
will help families who don't have public or employer-provided
insurance secure the health care they need. Under the proposal,
families with two or more children and incomes under $25,000
could receive up to $3,000 in credits to cover the cost of buying
health insurance. Individuals earning up to $15,000 a year could
receive a $1,000 credit.
This health credit also could be used for purchase of private
insurance through purchasing groups and state-sponsored insurance
pools - such as SCHIP or state employee pools.
We estimate that 6 million previously uninsured Americans will
get health insurance through these credits, earning the security
and peace of mind that comes with health insurance.
Health credits are just part of the President's proposal, and
it's fitting that we're gathered here at the upper Cardozo health
center. Community health centers are at the heart of the President's
proposal to expand access to health care to Americans.
The 2003 budget will request an additional $114.4 million dollars
over this year as part of the President's vow to create 1,200
new community health centers by 2006. The increase in the President's
proposal would support 170 new and expanded health centers and
provide services to a million additional patients. It's part
of the President's long-term plan to double the capacity of
our community health center system.
That is a noble goal, one that benefits families from coast
to coast. In the last year, I have visited community health
centers in New York, California, my home state of Wisconsin,
and here in the District. The centers - and especially the committed
health care providers at those centers - never fail to impress
me with their compassion and close ties to the community.
We are going to make sure that the community health centers
have excellent health care workers through with the National
Health Service Corps. We are increasing funding for the service
corps by $44 million to attract bright young professionals to
the community health centers.
This is a crucial service that brings quality doctors and nurses
to some of our poorest neighborhoods. All Americans - and all
families - deserve the best-quality care, regardless of income
or insurance. The National Health Service Corps brings it to
them.
Our proposal doesn't stop there. We will help American families
through improved Medical Savings Accounts. These accounts provide
an important option for individuals to purchase coverage and
give them more control over spending on medical services.
We'll also address the issue of Flexible Spending Accounts.
These accounts are typically established by employers as a means
of employee health-care savings. However, the money reverts
to the employer if not spent. We propose that up to five hundred
dollars of flexible spending account money be kept by employees
at year's end.
Finally, let me talk to you about the subject of waivers. Waivers
allow state and local government the flexibility they need to
address local problems in a local manner.
When I was governor of Wisconsin, I implemented a waiver for
health insurance through our Badgercare program. And I can assure
you: it works. Badgercare proved to be more popular than we
ever imagined, and tens of thousands of Wisconsinites now have
health insurance thanks to this groundbreaking program.
It is a program that has been duplicated in other states, and
we are committed to continuing to work with state and local
government so they can address their problems in ways that are
best for them. New Yorkers should decide what's best for New
York, as Wisconsinites were able to decide what was best for
Wisconsin.
In particular, waivers give states the flexibility to strengthen
their Medicaid and SCHIP programs. Extending the availability
of state children's health insurance program, or SCHIP, funds
is a way to give parents health insurance.
This will make it easier for moms and dads to care for their
kids, since they themselves will have access to the care they
need to stay healthy.
An estimated $3.2 billion in unspent SCHIP dollars would be
returned to the federal treasury over the next two years. That's
because if states have not used their full SCHIP allotments
within three years, the allotments go back to the treasury.
President Bush has proposed to keep this money available for
the SCHIP program, which means that billions of additional dollars
will be available to states to provide health insurance through
SCHIP.
It will be available for states nationwide and will allow us
to continue making significant progress in reaching out to the
uninsured, especially low-income working families. That is the
President's plan. It is a fair plan, and it is a wise plan.
It's a plan I'm proud to be able to present it to you. It's
clear we must join together to accomplish our goal to expand
access to health care in America. I'm reminded of my favorite
Spanish phrase: "juntos podemos" "together we
can."
Yes, together we can. Together, we will.
Thank you, and I'll be happy to take your questions.
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